Laserfiche WebLink
<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />, <br />Datp, Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />5'3;;1.7- <br /> <br />!:A II Blvd <br />I <br /> <br />D NEW CONSTR E3 <br />I;XJ INSTALL <br />PROPOSED USE 0 SFR 0 <br />TYPE OF CONSTRUCTION D BLOCK 0 <br /> <br />DESCRIPTION OF WORK I ~JI !i I'Ve s e/ <br /> <br />BUILDING SIZE I SQ FOOTAGE I HEIGHT I <br />111'lllllflllllllllfllllllllllllllllllll'lllllllllllllII" 11111"11111'1"1111111111111111111"111111111'1"111111'111111'1111111111111111111"" <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />PARCELlD#1 ~'-:2.lP -~ a, \ - (:;JO\ b, l 330'(.) -. on\o <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ ~50 05 <br /> <br />D GAS D ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111'1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111 <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />WORK PROPOSED <br /> <br />D <br />o <br />o <br />ANd /11d/J~ <br /> <br />AD DIAL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />~ MECHANICAL <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br />ttvd~~ <br /> <br />OTHER I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />blA <br /> <br />s/l. <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />;.2. <br /> <br />OTHER <br />SIGNATURE <br /> <br />YI N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # I <br /> <br />fL7ilZ lid? 5eIUJdf5 ...he- <br />L+-i ' Y I N I FEE CURRENT 1 Y I N I <br /> <br />6-r License # I CI/C/;f/5f/~ <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Address License # <br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlsionsllarge projects <br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />Di~~~ti~~~': . . I I I I I I I I I I I . . . I I . . . . I . I I I I . . I I . I I . . I . I . I . I . I . . . . . . I . I . . . I . . I . I I . I I I I I . I I I I . I I I . . . I I I . . . I . . I I I I . . . . I . I I I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadwaysooneeds ROW <br />